Mateus Grisham LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

MATEUS GRISHAM LLC

Practice address

105 State Route 31 Ste 106
Flemington, NJ 08822-5772

Phone

(908) 619-9779

NPI assigned

Oct 15, 2019

Last updated

Sep 17, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Morgan Mateus

Title

Managing Memer

Phone

(908) 619-7997

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1215579834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STATE ROUTE 31 STE 106",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225772",
            "telephone_number": "908-619-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STATE ROUTE 31 STE 106",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225772",
            "telephone_number": "908-619-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATEUS GRISHAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "MATEUS",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "MANAGING MEMER",
        "authorized_official_telephone_number": "908-619-7997"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Martino, PA-C
• Kimberly Martino
• Amy Martucci
• Sapir Mashiach
• Deirdre C Masterton, MD
• Steven Nalonnil Mathews, M.D.
• Cruz A. Mattei, M.D.
• Jason D Matthews, M.D.
• Melissa Georgette Mauro, M.D.
• MBS Anesthesia LLC

• Developmentally Disabled Services Day Training Agency in Flemington, NJ
• Providers in Flemington, NJ by specialty
• Developmentally Disabled Services Day Training Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.